Abstract
AbstractBehavioral health disorders are well-known to have close links with the social determinants of health, yet little is known about how impacted communities perceive these links. Qualitative participatory methods can not only provide insight into how communities conceptualize these relationships but also empower those with lived experience to contextualize their perspectives and formulate calls to action. This study used Photovoice as a participatory method to supplement the Clark County Health Department Community Health Assessment and determine priority facilitators and barriers contributing to the behavioral health of Clark County, KY, residents. A secondary aim was to gain a greater understanding of how the Photovoice methodology impacts community engagement efforts in Community Health Assessments. Twenty-three Clark County residents participated in four Photovoice groups involving five weekly sessions, which included photograph “show and tell,” critical group dialogue, participatory analysis, and planning for dissemination. Secondary analysis of Photovoice focus group discussions revealed behavioral health facilitators and barriers were most influenced by (1) public sector unresponsiveness, (2) strong partnerships formed between community and grassroots organizations, and (3) the siloed division of responsibility between agencies and across sectors. The authors also found the Photovoice method successfully enhanced engagement and empowered those with lived experience to frame their perspectives of the behavioral health landscape. This project has implications for enhancing community engagement and empowerment in behavioral health–focused public health assessments and shaping policy to promote multi-sector collaboration.
Funder
National Institute on Drug Abuse
Publisher
Springer Science and Business Media LLC
Reference87 articles.
1. O’Brien BC, Harris IB, Beckman TJ, et al. Standards for reporting qualitative research: A synthesis of recommendations. Academic Medicine, 2014;89(9):1245. Available at https://doi.org/10.1097/ACM.0000000000000388. Accessed 8 January, 2024.
2. Substance Abuse and Mental Health Services Administration. Key substance use and mental health indicators in the United States: Results from the 2022 National Survey on Drug Use and Health. Center for Behavioral Health Statistics and Quality. Publication Number PEP23-07-01-006, NSDUH Series H-58, November 2023. Available at https://www.samhsa.gov/data/report/2022-nsduh-annual-national-report. Accessed 13 December, 2023.
3. Alegría M, NeMoyer A, Falgas I, et al. Social determinants of mental health: where we are and where we need to go. Current Psychiatry Reports, 2018;20(11):95. Available at https://doi.org/10.1007/s11920-018-0969-9. Accessed 2 November, 2023.
4. Spear SE, Crevecoeur-MacPhail D, Denering L, et al. Determinants of successful treatment outcomes among a sample of urban American Indians/Alaska Natives: the role of social environments. Journal of Behavioral Health Services & Research, 2013;40(3):330–341. Available at https://doi.org/10.1007/s11414-013-9324-4. Accessed 13 December, 2023.
5. Hodgkinson S, Godoy L, Beers LS, et al. Improving mental health access for low-income children and families in the primary care setting. Pediatrics, 2017;139(1):e20151175. Available at https://doi.org/10.1542/peds.2015-1175. Accessed 23 October, 2023.